Prevalence of chronic morbidities and healthcare seeking behavior among urban community dwelling elderly population residing in Kalyani Municipality area of West Bengal, India

We explored the healthcare seeking behavior of Medical Aid (MA) beneficiaries who over-utilize healthcare services in South Korea. We employed a qualitative descriptive study using semi-structured interviews with fifteen community-dwelling MA beneficiaries—who were categorized as over-utilizing healthcare services—and conventional content analysis. Four categories emerged: having unmet healthcare needs, wandering in search of effective healthcare services, routinizing their use of healthcare services, and being concerned about benefit restrictions due to their healthcare overutilization. Overall, these categories indicate participants’ behaviors used to fill the gap between their high healthcare needs and restricted MA benefits. The findings provide a foundation for healthcare providers, policymakers, researchers, and MA beneficiaries to discuss how to better address beneficiaries’ healthcare needs while preventing healthcare overutilization patterns. Effective and innovative interventions that target MA beneficiaries and their case managers are necessary to improve beneficiaries’ quality of life.

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Knowledge and healthcare-seeking behavior of family caregivers of children with pneumonia: A qualitative study in an urban community in Indonesia

Belitung Nursing Journal ◽

10.33546/bnj.1268 ◽

2021 ◽

Author(s):

Nyimas Heny Purwati ◽

Yeni Rustina ◽

Bambang Supriyatno

Keyword(s):

Qualitative Study ◽

Family Caregivers ◽

Urban Community ◽

Integrated Management ◽

Family Care ◽

Structured Interview ◽

Healthcare Seeking ◽

The Family ◽

Seeking Behavior ◽

Healthcare Seeking Behavior

Background: Childhood pneumonia is the leading cause of death. Family caregivers may have a poor understanding of pneumonia, especially related to prevention and treatment. It is crucial to understand country-specific knowledge and healthcare-seeking behaviors of caregivers of children with pneumonia before planning programmatic responses, particularly in an urban community where the culture-social economic status is diverse.Objective: This study aimed to describe the knowledge and healthcare-seeking behavior of family caregivers of children with pneumonia in Indonesia’s urban community.Methods: A descriptive qualitative study was conducted at a public hospital in Jakarta, Indonesia, from 10 December 2019 to 28 January 2020. Ten family caregivers of children with pneumonia were included, and a semi-structured interview was conducted for data collection. The audio recording was transcribed verbatim, and the data were analyzed using content analysis.Results: The emerged data indicated low knowledge of the family caregivers, especially mothers, which considered pneumonia a common cold only, and they failed to understand the risk of its transmission. Using traditional medicines was the first stage of healthcare-seeking behavior. If the symptoms worsened, the caregivers brought their children to the nearest health center. If there was no change in the symptoms, they headed to the hospital. The health center’s location, condition, services, and staff attitude are considered factors to choose the services.Conclusion: Living in an urban area does not guarantee the family caregivers have better knowledge and good healthcare-seeking behavior. Therefore, nurses should provide comprehensive education about pneumonia, its symptoms, and treatment management to improve family care and prevent pneumonia-related deaths. Integrated management of children with illness is recommended to help the family caregivers of children with pneumonia receive treatment as quickly as possible. This study was funded by Universitas Muhammadiyah Jakarta, Indonesia

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Healthcare-Seeking Behavior among Chinese Older Adults: Patterns and Predictive Factors

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18062969 ◽

2021 ◽

Vol 18 (6) ◽

pp. 2969

Author(s):

Yanbing Zeng ◽

Yuanyuan Wan ◽

Zhipeng Yuan ◽

Ya Fang

Keyword(s):

Older Adults ◽

Predictive Factors ◽

Medical Insurance ◽

Utilization Rate ◽

Heckman Selection Model ◽

Healthcare Seeking ◽

Inpatient Services ◽

Medical Institutions ◽

Seeking Behavior ◽

Healthcare Seeking Behavior

This study aimed to investigate the patterns and predictive factors of healthcare-seeking behavior among older Chinese adults. A sample of 10,914 participants aged ≥60 years from the 2011, 2013 and 2015 China Health and Retirement Longitudinal Study (CHARLS) was included. The bivariate analyses and Heckman selection model was used to identify predictors of healthcare-seeking behavior. Results shows that the utilization rate of outpatient services increased from 21.61% in 2011 to 32.41% in 2015, and that of inpatient services increased from 12.44% to 17.68%. In 2015, 71.93% and 92.18% chose public medical institutions for outpatient and inpatient services, 57.63% and 17.00% chose primary medical institutions. The individuals who were female, were younger, lived in urban, central or western regions, had medical insurance, had poor self-rated health and exhibited activity of daily living (ADL) impairment were more inclined to outpatient and inpatient services. Transportation, medical expenses, the out-of-pocket ratio and the urgency of the disease were associated with provider selection. The universal medical insurance schemes improved health service utilization for the elderly population but had little impact on the choice of medical institutions. The older adults preferred public institutions to private institutions, preferred primary institutions for outpatient care, and higher-level hospitals for hospitalization.

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Negative Healthcare Experiences, Healthcare-Seeking Behavior, and Mental Health in Tampa Bay Area Transgender and Gender-Nonconforming Individuals

Southern Medical Journal ◽

10.14423/smj.0000000000001260 ◽

2021 ◽

Vol 114 (6) ◽

pp. 361-367

Author(s):

Michele L. Bohlmann ◽

Alex J. Dolan ◽

Nat C. Jones ◽

Brian D. Knox

Keyword(s):

Mental Health ◽

Tampa Bay ◽

Gender Nonconforming ◽

Healthcare Seeking ◽

Bay Area ◽

Healthcare Experiences ◽

Seeking Behavior ◽

Healthcare Seeking Behavior ◽

And Gender

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A Framework to Analyze Variation of the Satisfaction of Patients for Outpatient Needs

International Journal of Public and Private Healthcare Management and Economics ◽

10.4018/ijpphme.2015010102 ◽

2015 ◽

Vol 4 (1) ◽

pp. 21-35

Author(s):

Arnab Jana

Keyword(s):

West Bengal ◽

Positive Impact ◽

Health Centers ◽

Enabling Factors ◽

Factors Affecting ◽

Primary Health ◽

Seeking Behavior ◽

Care Activity ◽

Healthcare Seeking Behavior ◽

Health Care Activity

This study explored outpatient healthcare seeking behavior in India and estimated predisposing and enabling factors that influenced the satisfaction derived from the health care activity. The study assumed that if these gaps are fulfilled in the local facilities, this might invigorate lesser popular public providers within the neighborhood. The study was conducted in the state of West Bengal India. A multilevel framework was developed to incorporate factors affecting the satisfaction of the healthcare activity. Analysis revealed dependency on regional facilities and extensive traveling. Excessive traveling affected satisfaction negatively whereas in cases where respondent availed services from local primary health centers had positive impact on satisfaction. On the route to daily activity, ability to visit referred facility and visit to facility with modern amenities often triggered satisfaction. Segmented policy designed to fulfill these preferences might be indispensable to enhance local sufficiency.

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